Poll Sensitivity & Soft Tissue Adhesions in an OTTB

Meet Giselle
Giselle is a 10-year-old OTTB who enjoys dressage work and occasionally pops over a jump or two. Her owner reached out when she noticed Giselle wasn’t quite herself — she had become extremely reactive around her poll and resistant to being touched in that area.

Assessment Findings
During my evaluation, I found notable tension and sensitivity in her poll and TMJ, along with soreness in the sacroiliac (SI) region. These areas are often connected through deep fascial and neurological relationships. On further palpation, I discovered scar tissue and adhesions along the cranial portion of her brachiocephalicus, likely from a past soft tissue injury. These adhesions were affecting muscle function and contributing to her discomfort.

The Approach
For Giselle, I provided a comprehensive “The Works” session tailored to her specific needs. To address the poll adhesions and tightness, I started with PEMF therapy to relieve pain and inflammation while loosening the tissue. I followed with targeted massage techniques, including cross-friction and direct pressure, to work directly on the adhesions and surrounding muscles.

Next, I applied myofascial release techniques to gently stretch and release the fascia that had gone “on lockdown” to protect this highly sensitive area. I finished the session with cupping therapy to further break up adhesions, promote blood flow, reduce pain and stiffness, and encourage detoxification of the area.

Additionally, I used PEMF and massage on her affected sacroiliac (SI) region to support overall balance and comfort, ensuring the session addressed both local and related areas of tension.

Results & Progress
After just one session, her owner noticed significant improvement — Giselle no longer reacted to poll pressure and returned to her usual demeanor. By the second session, Giselle had learned to trust the work. Horses in pain often resist at first, but once relief is felt, they begin to relax fully — as Giselle demonstrated by resting the entire weight of her head on me several times.

We’re continuing to address scar tissue and restore healthy muscular function. Seeing her progress and building that trust is incredibly rewarding, and it’s a reminder of how much a targeted, holistic approach can help horses feel better without invasive interventions.

Why This Matters
Poll sensitivity, soft tissue adhesions, and associated muscular tension are more common than many owners realize. With proper bodywork, these issues can be addressed safely, improving comfort, performance, and overall well-being.

If your horse is showing signs of discomfort or resistance to touch, it may be time to explore how equine massage and holistic therapies can help. Contact AG Equine Massage today to schedule a session or learn more about supporting your horse’s comfort and performance.

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